Based on public Medicaid payment data.
Kenneth Won Kim
Medicaid Provider in Riverside, CA
Type
Individual Provider
Address
6160 Arlington Ave Ste D4
Riverside, CA 925041900
Phone
9516370013
NPI
1760155527
Procedures
5
Total Claims
10.1K
Patients Served
8.2K
About these costs
All amounts reflect Medicaid reimbursement rates, which are typically much lower than private insurance or cash prices. These figures show what state Medicaid programs actually paid this provider per claim.
Procedures & Average Costs
| Procedure | Avg. Paid | Claims | Patients |
|---|---|---|---|
| Dental Cleaning & Exam | $71.18 | 5,234 | 5,139 |
| Dental Filling | $64.87 | 2,219 | 1,370 |
| Dental Crown | $474.86 | 1,250 | 843 |
| Tooth Extraction | $115.28 | 954 | 493 |
| Root Canal | $433.44 | 435 | 396 |
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